  <div class="padding-all">
	 <div ng-include src="'/ksr/partials/breadcrumb.htm'"></div>
	
	<div class="panel panel-default">
	  <div class="panel-heading">
	    <h3 class="panel-title">Edit Customer profile</h3>
	  </div>
	  <div class="panel-body">
		<form role="form" name = "customerForm" class="ksr-form">
		  <div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">First Name</span>
			  <input type="text" class="form-control" ng-model="customer.firstName" ng-required="true" placeholder="Enter First Name"/>
			</div>
		  	<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Last Name</span>
			  <input type="text" class="form-control" ng-model="customer.lastName" ng-required="true" placeholder="Enter Last Name"/>
			</div>
    		
    		<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Date of birth</span>
			  <input type="date" class="form-control" ng-model="customer.dateOfBirth" placeholder="Enter Date of Birth" ng-required="true"/>
			</div>
		  <div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Email</span>
		    	<input type="email" class="form-control" ng-model="customer.email" placeholder="Enter email" ng-required="true"/>
			</div>

			<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Phone</span>
			  <input type="tel" class="form-control" ng-model="customer.phoneNumber" placeholder="Enter phone number" ng-required="true"/>
			</div>
    		<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Interest</span>
			  <input type="text" class="form-control" ng-model="customer.interest" placeholder="Enter interest" ng-required="true"/>
			</div>

			<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Address L1</span>
			  <input type="text" class="form-control" ng-model="customer.address.addressLine1" placeholder="Enter address line 1" ng-required="true"/>
			</div>
			<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Address L2</span>
			  <input type="text" class="form-control" ng-model="customer.address.addressLine2" placeholder="Enter address line 2"/>
			</div>
			<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">City</span>
			  <input type="text" class="form-control" ng-model="customer.address.city" placeholder="Enter City" ng-required="true"/>
			</div>
			<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">State</span>
			  <input type="text" class="form-control" ng-model="customer.address.state" placeholder="Enter State" ng-required="true"/>
			</div>
			<div class="input-group input-group-lg margin-bottom">
			  <span class="input-group-addon">Zip</span>
			  <input type="text" class="form-control" ng-model="customer.address.zip" placeholder="Enter Zip" ng-required="true"/>
			</div>
		  
		  <button type="button" ng-click="submit();" ng-disabled="customerForm.$invalid" class="btn btn-info">Submit</button>
		  <a  ng-href="#/overview" class="btn btn-default">Cancel</a>
		</form>
	  </div>
	</div>
	
	<pre ng-bind="customer | json"></pre>
	<!-- 
	<pre ng-bind="categoryList | json"></pre>
	 -->
 </div>
 
 
 
 